Ortho Mobilizations

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Author:
mojopuck
ID:
81023
Filename:
Ortho Mobilizations
Updated:
2011-05-01 17:18:31
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joint
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Description:
Capsular patterns for joints
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  1. Kaltenborn (Arabic numbers) grades
    • 1. Bend a flea's knees
    • 2. Take up the slack
    • 3. Stretch
  2. Maitland (Roman numerals) grades
    • I. Beginning of range, small amplitude
    • II. Near beginning to mid range, large amplitude
    • III. Mid to end range, large amplitude
    • IV. End range, small amplitude
    • V. Beyond end range
  3. Treatment for pain
    Grades 1, 2, I, II (1/sec)
  4. Increase mobility/ stretch
    Grades 3, III, IV (2-3/sec)
  5. Glenohumeral Joint
    • LPP: 55 Abd, 30 horizontal Add (scaption)
    • CPP: Full Abd, ER
    • CP: ER>Abd>IR
    • Convex on concave
    • Glides: lateral distraction, long axis distraction, inf, ant, post
  6. Sternoclavicular Joint
    • LPP: arm at side
    • CPP: full elevation (flex, abd, or shrugging shoulders)
    • CP: extremes of ROM (horizontal Add, full elevation)
    • Convex on concave for sup/inf
    • Concave on convex for ant/post
    • Glides: inf, sup, ant, post
  7. Intertarsal Joint
    • LPP: midway betw. extremes of ROM
    • CPP: supination
    • CP: dorsiflexion, plantarflexion, add, medial rotation
    • Calcaneocuboid: concave on convex for flex/ext, convex on concave for abd/add
    • Talonavicular: concave on convex
    • Glides: navicular, cuboid
  8. Intermetatarsal Joint
    Glides: proximal plantar, distal plantar
  9. Metatarsophalangeal Joint
    • LPP: midway betw. extremes of ROM
    • CPP: full extension
    • CP: 1st MTP- extension, flex
    • Concave on convex
    • Glides: 1st MTP distraction, dorsal, plantar, tibial
  10. Talocrural Joint
    • LPP: 10 plantarflexion, midway between inversion and eversion
    • CPP: max dorsiflexion
    • CP: plantarflexion, dorsiflexion
    • Convex on concave
    • Glides: distraction, posterior, anterior
  11. Talocalcaneal (Subtalar) Joint
    • LPP: midway betw. extremes of ROM
    • CPP: supination
    • CP: varus, valgus
    • Convex on concave
    • Glides: distraction, eversion (tibial), inversion (fibular)
  12. Acromioclavicular Joint
    • LPP: arm by side
    • CPP: 90 Abd
    • CP: extremes of ROM
    • Convex on concave
    • Glides: ant, post
  13. Scapulothoracic Joint
    • No convex/concave rules or capsular pattern-- NOT A TRUE JOINT!
    • Glides: distraction, sup, inf, winging
  14. Midtarsal assessment:
    • Long axis: talonavicular
    • Oblique axis: calcaneocubiod
    • Supination: rigid, axes intersected, bones shouldn't move much
    • Pronated: loose, axes parallel, bones should more more
  15. Humeroulnar Joint
    • LPP: 70 flex, 10 supination
    • CPP: full extension and supination
    • CP: flexion>extension
    • Concave on convex
    • Glides: distraction, radial, ulnar
  16. Humeroradial Joint
    • LPP: full extension and supination
    • CPP: 90 flexion, 5 supination
    • CP: flexion>extension
    • Concave on convex
    • Glides: distraction, anterior, posterior
  17. Proximal Radioulnar Joint
    • LPP: 70 flexion, 35 supination
    • CPP: 5 supination
    • CP: equal limitation in all directions
    • Convex (radius) on concave (ulna)
    • Glides: ant, post
  18. Distal Radioulnar Joint
    • LPP: 10 supination
    • CPP: 5 supination
    • CP: extremes of rotation
    • Concave (radius) on convex (ulna)
    • Glides: ant, post
  19. Radiocarpal Joint
    • LPP: neutral with slight ulnar deviation
    • CPP: extension with radial deviation
    • CP: equal limitations of flex, ext
    • Convex (scaphoid and lunate) on concave (radius)
    • Glides: distraction, dorsal, ventral, radial, ulnar
  20. Carpometacarpal Joint
    • LPP: midway betw. abd/add and flex/ext
    • CPP: full opposition (thumb), full flexion (fingers)
    • CP: abd>ext (thumb), equal limitation in all directions (fingers)
    • Glides: 1st CMC traction, dorsal, volar, radial, ulnar
  21. Metacarpophalangeal Joint
    • LPP: slight flexion
    • CPP: full flexion
    • CP: flex>ext
    • Concave and convex
    • Glides: distraction, radial, ulnar, dorsal, palmar
  22. PIP and DIP Joints
    • LPP: slight flexion
    • CPP: full extension
    • CP: flex>ext
    • Concave on convex
    • Glides: distraction, dorsal, vola, mediolateral
  23. Patellofemoral Joint
    • Glides: inferior, lateral, medial, superior
    • Also: "see-saw" mob after ACL repair that used middle 1/3 of patella
  24. Tibiofemoral Joint
    • LPP: 25 flexion
    • CPP: full extension, lateral rotation of tibia
    • CP: flex>ext
    • Concave on convex
    • Glides: distraction, ant, post, medial, lateral
  25. Superior Tibiofibular Joint
    Glides: ant (anterolateral), post (posteromedial)
  26. Inferior Tibiofibular Joint
    • LPP: plantarflexion
    • CPP: dorsiflexion
    • CP: pain on stress
    • Concave on convex
    • Glides: ant, post

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